What is Big Think?  

We are Big Idea Hunters…

We live in a time of information abundance, which far too many of us see as information overload. With the sum total of human knowledge, past and present, at our fingertips, we’re faced with a crisis of attention: which ideas should we engage with, and why? Big Think is an evolving roadmap to the best thinking on the planet — the ideas that can help you think flexibly and act decisively in a multivariate world.

A word about Big Ideas and Themes — The architecture of Big Think

Big ideas are lenses for envisioning the future. Every article and video on bigthink.com and on our learning platforms is based on an emerging “big idea” that is significant, widely relevant, and actionable. We’re sifting the noise for the questions and insights that have the power to change all of our lives, for decades to come. For example, reverse-engineering is a big idea in that the concept is increasingly useful across multiple disciplines, from education to nanotechnology.

Themes are the seven broad umbrellas under which we organize the hundreds of big ideas that populate Big Think. They include New World Order, Earth and Beyond, 21st Century Living, Going Mental, Extreme Biology, Power and Influence, and Inventing the Future.

Big Think Features:

12,000+ Expert Videos

1

Browse videos featuring experts across a wide range of disciplines, from personal health to business leadership to neuroscience.

Watch videos

World Renowned Bloggers

2

Big Think’s contributors offer expert analysis of the big ideas behind the news.

Go to blogs

Big Think Edge

3

Big Think’s Edge learning platform for career mentorship and professional development provides engaging and actionable courses delivered by the people who are shaping our future.

Find out more
Close
With rendition switcher

Transcript

Question: How can we reduce costs and improve quality in healthcare?

 

Ron Dixon: So there are certain systems that are in the United States right now that seemed to be able to provide better value-based care. These systems that are commonly mentioned are Kaiser or Mayo Clinic or Geisinger, and what they do is that they have the ability to provide care across the continuum. So if you see someone within the system, you’re likely referred to somebody else within the system, and that information that is obtained from the first person you saw is seen by that second person, so you reduce the cost of repetition.

Additionally, those systems tend to control their administrative cost a lot tighter, and they also tend to follow certain things like formulary restrictions, and they have decision-support for their physicians in their electronic medical records that they use, and they all have the basically 100% electronic medical record utilization.

 

Question: What are some advantages and disadvantages of electronic medical records?

 

Ron Dixon: Electronic medical records are important because they allow for information sharing.

 

The problem with electronic medical records is that if there are a hundred different vendors and therefore a hundred different records and information cannot be shared across so-called systems. So, if you as provider X has a certain system and me as provider Y has a different system, those system don’t share information in the current state. As a result the goal of the record, in terms of making information portable and transferable is lost.

They’re very effective within the system so the tests aren’t repeated. You can see tests that were done the previous day or the previous month. They’re very good for trending tests and trending information. But the real promise of the electronic medical record is not obtained until you have a way to link different records with different information systems.

So if you would think of the electronic medical record as the car. Right now the administration is buying cars, but we need to build roads so that the cars can travel, and all that information that is obtained at a practice in Denver can be seen at a practice in Boston if the consultation has occurred in Boston. There, the promise of the records starts to come to fruition.

Additionally the record can also provide a way for the patient to have some input and access to information about their care. If the record not only becomes the EMR, the electronic medical record, but becomes a window to the personal health record, I believe that they should be one and the same, that the physician should be able to see a part of patient’s record and that the patient should have access to the same information in a view that he or she can understand. That would allow the promise of the record to really be realized, because once you start giving patients access to their information, you start empowering patients, you start empowering self management and you start really developing a shared strategy of care between the patient and the care provider.

 

Question: What aspects of healthcare should the US government focus on?

 

Ron Dixon: I think that the government should also think about investing in things that enabled patients to take better care of themselves. So, again the medical record is not enough. We need something that patients can see and we need them to access to their information, whether it’s through readily available technology like a cell phone or a laptop or a pass-key that they can go to a public library and get their information. Yes, there is a question of safety, but that has to be managed appropriately.

I think those are the types of things that the government should be spending their money on from a technological perspective. Very simple solutions that people can understand and embrace, as opposed to again whiz-bang things that people typically are not going to use.

It’s not the technology that makes the difference it’s the implementation scheme and the people behind the technology that matter.

 

Recorded on: May 28, 2009

 

 

Fulfilling Healthcare’s Dig...

Newsletter: Share: